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SALINA J MOON OD
NPI 1841316080
Optometrist in San Diego, CA

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salina J Moon Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALINA J MOON OD (NPI 1841316080) is an individual optometrist in San Diego, California, licensed in California (OPT10776T) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1996).

NPPES Registry Identity

NPI1841316080
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSALINA J MOONCredential: OD
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5000
Phone(619) 528-5000
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1996
Enumeration DateMarch 21, 2007
Last NPPES UpdateDecember 8, 2021
✔ NPI 1841316080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · OPT10776T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4647 ZION AVE, San Diego, CA 92120
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Salina J Moon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597714717
PECOS Enrollment IDI20050114000334
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN MARIE PENA MD
Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DR. SHWETA WARNER M.D.
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 221-6258
DR. MATTHEW JAMES ROOSEVELT M.D.
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
San Diego County (619) 952-5091
RICHARD FUNG
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (626) 278-2749
ARDIS L TASCHNER CRNA
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
JEANNE HAGER DONAHUE LCSW
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5323
DAVID M. LEVINE MD
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DALE K. LIEU MD
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salina Moon's NPI number?

The NPI number for Salina Moon is 1841316080. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Salina Moon located?

Salina Moon practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Salina Moon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Salina Moon enrolled in Medicare?

Yes. Salina Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Salina Moon was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.